Cardiogenic shock in pregnancy: Analysis from the National Inpatient Sample

Jennifer Banayan; Sarosh Rana; Ariel Mueller; Avery Tung; Hadi Ramadan; Zoltan Arany; Junaid Nizamuddin; Victor Novack; Barbara Scavone; Samuel M. Brown; Sajid Shahul

doi:10.1080/10641955.2016.1242606

Cardiogenic shock in pregnancy: Analysis from the National Inpatient Sample

Jennifer Banayan
, Sarosh Rana
, Ariel Mueller
, Avery Tung
, Hadi Ramadan
, Zoltan Arany
, Junaid Nizamuddin
, Victor Novack
, Barbara Scavone
, Samuel M. Brown
, Sajid Shahul

Internal Medicine Division

Research output: Contribution to journal › Article › peer-review

62 Scopus citations

Abstract

Objective: Cardiogenic shock (CS) may occur during pregnancy and dramatically worsen peripartum outcomes. Methods: We analyzed the National Inpatient Sample from 2002 to 2013 to describe the incidence of, risk factors for and outcomes of CS during pregnancy. Results: Of the 53,794,192 hospitalizations analyzed, 2044 were complicated by CS. The mortality rate in peripartum women with CS was 18.81% versus 0.02% without. It occurs more often during postpartum (58.83%) as compared with delivery (23.47%) or antepartum (17.70%) hospitalizations. Factors associated with CS -related death included cardiac arrest, renal failure, and sepsis. Conclusions: CS during pregnancy occurs more commonly in the postpartum period and is associated with a high mortality.

Original language	English
Pages (from-to)	117-123
Number of pages	7
Journal	Hypertension in Pregnancy
Volume	36
Issue number	2
DOIs	https://doi.org/10.1080/10641955.2016.1242606
State	Published - 3 Apr 2017

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Cardiogenic shock
extracorporeal membrane oxygenation
incidence
maternal mortality
pregnancy

ASJC Scopus subject areas

Internal Medicine
Obstetrics and Gynecology

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10.1080/10641955.2016.1242606

Cite this

@article{e221cf84f8984fc5a12449a81a14a2de,

title = "Cardiogenic shock in pregnancy: Analysis from the National Inpatient Sample",

abstract = "Objective: Cardiogenic shock (CS) may occur during pregnancy and dramatically worsen peripartum outcomes. Methods: We analyzed the National Inpatient Sample from 2002 to 2013 to describe the incidence of, risk factors for and outcomes of CS during pregnancy. Results: Of the 53,794,192 hospitalizations analyzed, 2044 were complicated by CS. The mortality rate in peripartum women with CS was 18.81\% versus 0.02\% without. It occurs more often during postpartum (58.83\%) as compared with delivery (23.47\%) or antepartum (17.70\%) hospitalizations. Factors associated with CS -related death included cardiac arrest, renal failure, and sepsis. Conclusions: CS during pregnancy occurs more commonly in the postpartum period and is associated with a high mortality.",

keywords = "Cardiogenic shock, extracorporeal membrane oxygenation, incidence, maternal mortality, pregnancy",

author = "Jennifer Banayan and Sarosh Rana and Ariel Mueller and Avery Tung and Hadi Ramadan and Zoltan Arany and Junaid Nizamuddin and Victor Novack and Barbara Scavone and Brown, \{Samuel M.\} and Sajid Shahul",

note = "Publisher Copyright: {\textcopyright} 2017 Taylor \& Francis.",

year = "2017",

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day = "3",

doi = "10.1080/10641955.2016.1242606",

language = "English",

volume = "36",

pages = "117--123",

journal = "Hypertension in Pregnancy",

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}

TY - JOUR

T1 - Cardiogenic shock in pregnancy

T2 - Analysis from the National Inpatient Sample

AU - Banayan, Jennifer

AU - Rana, Sarosh

AU - Mueller, Ariel

AU - Tung, Avery

AU - Ramadan, Hadi

AU - Arany, Zoltan

AU - Nizamuddin, Junaid

AU - Novack, Victor

AU - Scavone, Barbara

AU - Brown, Samuel M.

AU - Shahul, Sajid

PY - 2017/4/3

Y1 - 2017/4/3

N2 - Objective: Cardiogenic shock (CS) may occur during pregnancy and dramatically worsen peripartum outcomes. Methods: We analyzed the National Inpatient Sample from 2002 to 2013 to describe the incidence of, risk factors for and outcomes of CS during pregnancy. Results: Of the 53,794,192 hospitalizations analyzed, 2044 were complicated by CS. The mortality rate in peripartum women with CS was 18.81% versus 0.02% without. It occurs more often during postpartum (58.83%) as compared with delivery (23.47%) or antepartum (17.70%) hospitalizations. Factors associated with CS -related death included cardiac arrest, renal failure, and sepsis. Conclusions: CS during pregnancy occurs more commonly in the postpartum period and is associated with a high mortality.

AB - Objective: Cardiogenic shock (CS) may occur during pregnancy and dramatically worsen peripartum outcomes. Methods: We analyzed the National Inpatient Sample from 2002 to 2013 to describe the incidence of, risk factors for and outcomes of CS during pregnancy. Results: Of the 53,794,192 hospitalizations analyzed, 2044 were complicated by CS. The mortality rate in peripartum women with CS was 18.81% versus 0.02% without. It occurs more often during postpartum (58.83%) as compared with delivery (23.47%) or antepartum (17.70%) hospitalizations. Factors associated with CS -related death included cardiac arrest, renal failure, and sepsis. Conclusions: CS during pregnancy occurs more commonly in the postpartum period and is associated with a high mortality.

KW - Cardiogenic shock

KW - extracorporeal membrane oxygenation

KW - incidence

KW - maternal mortality

KW - pregnancy

UR - https://www.scopus.com/pages/publications/84994802304

U2 - 10.1080/10641955.2016.1242606

DO - 10.1080/10641955.2016.1242606

M3 - Article

C2 - 27835031

AN - SCOPUS:84994802304

SN - 1064-1955

VL - 36

SP - 117

EP - 123

JO - Hypertension in Pregnancy

JF - Hypertension in Pregnancy

IS - 2

ER -

Cardiogenic shock in pregnancy: Analysis from the National Inpatient Sample

Abstract

UN SDGs

Keywords

ASJC Scopus subject areas

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